After receiving a skin cancer diagnosis, many patients are faced with the prospect of skin cancer treatment, which often includes surgery. For example, MOHS micrographic surgery is used to treat squamous cell carcinoma, melanoma-in-situ, and primary basal cell carcinoma. Since the surgery is so detailed and technical, it’s imperative to seek treatment from an experienced surgeon who meticulously performs the surgery to effectively remove a patient’s cancer. However, even the most experienced surgical effort can result in some scarring. The surgeons at Couture Medical in Las Vegas, NV are experienced at creating as little scarring as possible during skin cancer surgery in order to reclaim the skin's natural beauty.
"The staff is the greatest! Prior to this office I have been to one other dermatologist and I was not pleased. Dr. Candace Spann and her staff always make me feel comfortable and well taken care of! I highly recommend this office for any skincare needs!"- J.B. / Yelp / Apr 29, 2017
"What a great staff! Beautiful office. I have seen both Dr. Marvin and Candace Spann for cosmetic procedures and laser treatments. The Dr.s were both very attentive and made me feel comfortable in my procedures."- N.S. / Yelp / Nov 22, 2016
"Dr. Candace has been a blessing to me, and is one of the sweetest people you would ever want to meet! I was experiencing facial sagging due to age, and she knew exactly what to do with fillers. I no longer wear my hair to cover my face. THANKS Dr. Candace!"- G.B. / Yelp / Mar 16, 2017
"Love this doctor and miss not seeing him anymore."- Anonymous / UCompareHealthcare / Mar 01, 2017
"I have gone to Couture Medical once a month for almost a year. I have never EVER waited for more than ten minutes to be called back. The waiting room is never packed or busy. The office staff is second to none. They are always friendly, fast, and personable. If I ever call with an issue or question, they handle it quickly and actually answer the phone when you call.I see Dr. Kim and she is one of the best doctors I have ever had. She listens, is extremely intelligent, and actually cares about your results. I absolutely love this place and am so glad I found it."- C.R. / Yelp / Feb 11, 2017
Reconstruction can often be performed the same day or the day after the removal procedure. Reconstructive procedures are performed on an individualized basis, depending on each patient's wound, and can involve a skin graft, flap of skin, stitching or surgical closure. Our dcotor will discuss the various options with the patient and together they will choose the best method or methods of treatment. Following that, we will work with the doctor performing the patient’s skin cancer removal to perform reconstruction either immediately after the removal or later if the patient chooses.
Patients may be put under local or general anesthesia depending on the location and size of the area being treated. Once the skin cancer lesion is removed, reconstruction is done using the techniques she and the patient decided on during the initial consultation. Once the reconstruction is completed, your surgeon will close and dress the wound before the patient is allowed to leave. Following that, every patient will receive post surgical instructions, including how to care for the surgical wound, what topical medications to apply, and other tips to help with the patient's recovery. Avoiding sun exposure and using sun protection will help the wound heal quicker and without irregularities, like raised, red, or darker skin. It may take up to 1 year for patients to see the final results of their skin cancer reconstruction. If needed, our staff will discuss a secondary surgery to further refine the results.
Plan Your Procedure
Will There Be Scars?@headingTag>
While our doctors do their best to keep their incisions small and the wound closures clean and neat, there will be some degree of scarring. Scarring can be minimized by following any post surgical wound care instructions. You can also elect to have surgical scar revision if you would like to further reduce the visibility of the scarring.
Why a Plastic Surgeon?@headingTag>
Even if a dermatologist removes the skin cancer growth, it is beneficial for patients to have a plastic surgeon performing the wound closure and/or skin reconstruction. Plastic surgeons are specially trained to preserve the appearance of the skin and they are more practiced at closing incisions cleanly and evenly.
When To Have Reconstruction?@headingTag>
It is best if patients make an appointment before their skin cancer removal so she can consult and coordinate with the doctor and facility performing the skin cancer removal. Patients may choose to have their skin reconstruction performed right after their removal surgery or they can wait to see how the wound will heal naturally. During the initial consultation, the doctor will listen to the needs and concerns of the patient and then help them determine their best timeline and treatment plan.